Back in 2002 as a doctor
Page 561
The 6cm surgical incision itself has a small operative field. In order to avoid fractures, Shen Tianci did not open the chest wall hanger to the maximum, further reducing the operative field.
This is to die!
But the behavior of "death" is not the only one.
Before making the jib, Zhou Congwen made a gesture.
He wants the anesthetist to start bilateral ventilation now!
He even ignored the timing of the spinnaker technique, and now asked the anesthesiologist to start double lung ventilation!
It was Zhou Congwen who was nervous, he looked very plain, but the heavy pressure on his shoulders caused him to misjudge!
After Owada Shen also realized this, his eyes lit up.
The pressure is shared by both sides. I feel overwhelmed even if I am not even on the operating table, so Zhou Congwen must be under even greater pressure.
Under the pressure, although the operator Zhou Congwen's movements "barely" maintained regularity and proficiency, and did not lose shape, there was a gesture that should not appear now.
In the live image, the anesthetist begins to operate.
He is a top anesthesiologist at the University Hospital of Frankfurt, and his operation is very smooth. Owada Shen also sneered, there have already been mistakes in the operation!
52″, this is the double-lung ventilation time given by Owada Shenya, which means that Zhou Congwen only has 52″ time to do the spinnaker technique.
The forceps and electric cautery enter the chest cavity and begin to free the pericardial fat.
This is the spinnaker technique, a small technique that appeared only for small incision one-stop coronary artery bypass surgery.
Owada Shen also stared intently at the intrathoracic surgery process on the screen transmitted by the LAN. His mouth grew bigger and bigger, but he didn't realize it at all.
Zhou Congwen and Shen Tianci's cooperation is not perfect, their cooperation is absolutely perfect!
In the small space, there is only a sliver of sight or even less, and Owada Fuka also suspects that the two of them are blind in some positions.
but!
Even in blind exercises, the pliers and electric burners have never collided.
The two of them are like a machine assembly line, and unfamiliar patients and unfamiliar physiological and anatomical structures are already familiar to them, as if they have done it hundreds or thousands of times.
When watching the operation a day ago, the spinnaker technology surprised everyone.
After a day of sleepless research, the participating experts more or less understood this.
But after seeing Zhou Congwen and Shen Tianci's cooperation, they had more understanding.
Ah, ah, ah exclamation sounded continuously.
This unconscious voice is far deeper and more heartfelt than applause and praise.
Owada Shen also knew that his judgment was wrong again just now, and the successive mistakes in judgment made him extremely frustrated.
Although the operative field opened by the chest wall sling was extremely small because of the patient's age, Zhou Congwen and Shen Tianci didn't care.
The two of them cooperated perfectly and completed the spinnaker technique in a very short time.
Yamato Tianshen also predicted 52″, but the two only used 43″ to complete freeing, hanging, and blocking.
There was plenty of time, and Zhou Congwen checked it again and strengthened the suture with one stitch.After the knot is tied, the thread scissors just interrupt the fixed thread, the lungs expand, and the double-lung ventilation begins!
Chapter 0965 Unfathomable Zhou Congwen
Is this something an unfamiliar team can do? !
It is absolutely impossible.
Even a team that has experienced thousands of operations may not be as skilled as Zhou Congwen and Shen Tianci.
Yamato Tian Shen was also puzzled.
Whether it is the anesthesiologist or Shen Tianci, it should be the first time to cooperate with Zhou Congwen in the operation.
Strangeness, alienation, and constant running-in during the operation, this is what Owada Fukaya expected to happen with a high probability.
However, up to the present time of the operation, Yamato Tianfu could only see the incomparably skillful cooperation.
Not only did Zhou Congwen cooperate skillfully with Shen Tianci, he even considered the anesthesiologist's technique and time.
He is not human!He is a monster!
Such a thought instantly appeared in Owada Fukaya's mind.
How difficult it is to establish a well-formed medical team, Owada Shenya, as the chief surgeon and medical director, understands very well.
It requires years of cooperation, the grinding of one operation after another, the need for everyone to understand each other's operating habits and technical level; it even requires good temper.
However, all these disappeared in front of the young surgeon Zhou Congwen.
This meant one thing - the level of the extremely young-looking practitioner was underestimated by everyone, especially by himself, and Owada Fuka also knew a fact that made him despair.
Only when the level of the surgeon surpasses all the people who cooperate with him on the operating table can he be able to do it with ease.
While completing a tense, complicated, and cumbersome major operation, we must also take care of the level and operation of other people.
How could he be so strong!The little beast in Owada Fukaya's heart roared wildly.
It's just that the current roar is filled with infinite despair.
Owada Shen also knew that if his judgment was correct, the operation had actually been completed, although the normal operation had not yet started, especially the difficulty that ordinary doctors thought-the heart beat and bypass had not yet been opened.
Judging from the existing cooperation, Owada Shen also saw a flawless operation.
Just like what Zhou Congwen said before the operation—one operation will show all the advantages of a one-stop operation with small incisions.
It is not a surgical video sent in for judging.
In that "sloppy" operation, although the overall process was smooth, Owada Fuka could also see that the operator deliberately slowed down his movements to "accommodate" the assistant.
And with the improvement of the assistant's level, from an excellent assistant to the world's top assistant, but the depth of the surgeon's level is still not revealed.
Although Owada Shenya did not see the operator Zhou Congwen deliberately slowing down during the operation just now, he still did not see the performance of full hand speed.
And that gesture with the anesthetist was like a slap in the heart of Owada Fukaya.
The level of the surgeon Zhou Congwen is unfathomable. Although the difficulty of this operation has soared, it is still just a "minor" operation for him.
Just when Owada Shenya was in a trance, the left internal mammary artery suspender was sent in, and Zhou Congwen and Shen Tianci began to mobilize the left internal mammary artery.
Still proficient with the same as the free pericardial fat, there is no difficulty.
Soon, the artery was completely dissociated, and the two began to anastomose with their hearts beating.
The operation was carried out according to the set script, and there were no difficulties.
Whether it is the patient's advanced age, or different local anatomy, or unfamiliar assistants with the operation, etc.
All this seems to be no different from previous operations in front of the surgeon.
It's just that, inadvertently, with the replacement of assistants, the speed of the operation has been raised to an outrageous level.
Simple, clean and fast.
This is the limit pursued by many surgeons, and all the participating experts have more or less come into contact with this level.
However, when faced with a brand-new surgery that breaks through the barrier of difficulty, the surgeon can still demonstrate the level that can only be possessed by the most peak level, which is surprising.
Zhang You watched the operation in a daze, his heart stilled.
Zhou Congwen's level is high, as it should be, and Zhang You has long accepted this reality silently in his heart.
It's just that Zhang You doesn't know the level of the world's top surgeons.
But look now...
It seems that the level of the doctor from Johns Hopkins who assisted Zhou Congwen was the same.
Strange, it is said that the world's top cardiac surgeons should be on par with him, not to mention crushing Zhou Congwen.
But the fact is completely contrary to Zhang You's prediction - the assistant is better than Yuan Qingyao, there is no doubt about it.Not only strong, but also very sophisticated, whether it is technique, prediction or micromanagement, it is very strong.
But this world's top level of surgery is still no different from Yuan Qingyao in Zhou Congwen's eyes.
Zhang You felt a sense of familiarity in a trance—the operation with Zhou Congwen as an assistant went smoothly.
He finally had a deep understanding of how high and how strong Zhou Congwen was.
If so, what about next year?
Zhang You doesn't care about the success or failure of an operation, as long as Zhou Congwen has enough value, he can cooperate as much as he needs.
I am not a young boy, as long as Zhou Congwen slaps his butt, he knows how to turn over.Even just a look is enough, any posture he needs, I can do it myself!
World number one!
These four words, this name has already burned in Zhang You's heart.
Unexpectedly, Lao Tzu would also have the opportunity to become the number one in the world. Zhang You's heart was extremely eager.
He deliberately ignored the concept of the medical team in the operation. Who cares about the medical team if he can get the first place in the world, as long as his resume is better.
Unlike Zhang You, Dr. Yamatoda Fukaya's eyes are getting darker and darker.
The left internal mammary artery was dissociated and anastomosed with the anterior descending branch. It flew up quickly, but not chaotically. The overall operation was done in a precise manner, as if the fast-forward button was pressed for a carefully crafted operation.
What about after that?
Seeing this, Owada Fuka already knew the ending.
After a small incision, the one-stop operation will not be a difficult and uncontrollable operation.
After all, the person who cooperates with the one-stop surgery is Liu Wuyan, the strong man who is based in Cleveland and spans surgery and cardiac interventional surgery.
Liu Wuyan's level is much better than the surgeon who intervened in the operation video sent by Zhou Congwen before.
This must be a flawless operation. Yamatoda Fuka tried hard to find any faults, but still couldn't find any problems.
He was going crazy, completely crazy.
Yamato Tian Shen never thought that there would be a perfect surgery, that there would be a surgery that he sat down and watched by himself, and he would not find any flaws and loopholes at all.
how can that be!
Chapter 0966
The impossible is happening right in front of your eyes, and Dr. Fukaya Owada can't question it.
The surgeon and assistants seemed completely unaware of how well their surgery was done, and the surgery on the screen continued without emotion.
A small 1.5cm incision was made under the xiphoid process, and one-lung ventilation was performed. The operator successfully removed the right internal mammary artery for bypass anastomosis with the circumflex branch.
After the anastomosis is completed, the great saphenous vein is handed over.
Liu Wuyan, who freed the great saphenous vein, immediately turned around to brush his hands again, disinfect them, and lay down sterile sheets.
Immediately there was another surgery field on the big screen.
Liu Wuyan manipulated the guide wire, walked to the vicinity of the coronary artery step by step, and started superselection.
He is one of the few top doctors who spans cardiac surgery and cardiac interventional surgery.
The position of the microguide wire was just right, and Zhou Congwen and Shen Tianci were anastomosing the great saphenous vein and the right coronary artery during the superselection.
Owada Shen also knew that this was the last chance for problems with the operation.
He clenched his hands into fists, and silently prayed to God Amaterasu to bless him, and there must be something wrong.
It is easy to go wrong here. The reason why one-stop surgery is difficult to carry out is because the scale is not well grasped.
But what about the young practitioner now?
Owada Fuka also knew in his heart that the most difficult part of the operation had already passed, and the one-stop difficult operation was not a problem for the surgeon at all.
But I don't know what the surgeons were thinking, or because they were negligent in cooperating, there was a trace of "flaw" in the interweaving of the two surgeries.
In the selected video, the superselection was performed after the anastomosis of the great saphenous vein and the right coronary artery was completed.
As for the surgery in front of him, two surgeries were performed at the same time.
The surgeon Zhou Congwen and his assistant Shen Tianci were concentrating on the right coronary artery bypass surgery, and Liu Wuyan was doing the interventional surgery.
Owada Shen also judged that this situation is most likely because Zhou Congwen underestimated Liu Wuyan's level of interventional surgery.
He has extremely high confidence in his operation speed, and believes that Liu Wuyan can only proceed to the step of super selection after he completes the anastomosis.
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